Individual provider · Type 1 NPI
Michael C. Wagner Ii, FNP
Family Nurse Practitioner · Danville, IL
NPI number
1073655825
Active
Practice location
1017 W Williams St
Danville, IL 61832-4468
Fax (217) 213-5240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209003483 (IL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1073655825
Michael C. Wagner Ii, FNP's National Provider Identifier is 1073655825, issued on Feb 12, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Danville, IL. The record was last updated on Jan 15, 2026.